FORM E-3SUPPLEMENTAL EXPENDITURE INFORMATIONNEW JERSEY ELECTION LAW ENFORCEMENT COMMISSION P.O. Box 185, Trenton, NJ 08625-0185 (609) 292-8700 or Toll Free Within NJ 1-888-313-ELEC (3532) Website: www.elec.nj.govTo be filed by a committee within 48 hours of any expenditure of money or other thing of value in excess of $1,900 in the aggregate made, incurred, or authorized from April 1 up to and including the day of any primary election in which the committee is participating, or from October 1 up to and including the day of any general election in which the committee is participating.Filing Period (Select One)Full Committee NameStreet AddressCityStateZip Code*Day Telephone*Evening TelephoneELEC Identification NumberEXPENDITURE INFORMATIONPayment DateCheck No.PurposeAmount Incurred/Not PaidAmount DisbursedFull Name of PayeeFull Mailing AddressExpenditures on Behalf of Candidate(s)/Committee(s) (Identify Recipient)Candidate/Committee Full NameElection DateElection District or MunicipalityProrated AmountPayment DateCheck No.PurposeAmount Incurred/Not PaidAmount DisbursedFull Name of PayeeFull Mailing AddressExpenditures on Behalf of Candidate(s)/Committee(s) (Identify Recipient)Candidate/Committee Full NameElection DateElection District or MunicipalityProrated AmountGrand TotalRegistration NumberPINTreasurerDate*Leave this field blank if your telephone number is unlisted. Pursuant to N.J.S.A. 47:1A-1.1, an unlisted telephone number is not a public record and must not be provided on this form.New Jersey Election Law Enforcement CommissionPage 1 of 1sForm E-3 Revised Jun. 2021
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